SHANDA SANDRIDGE

JACKSON, MS
NPI1144527292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: MS  R871718)
Enumeration Date2011-02-24
Last Update Date2012-06-05
Business Address
Mrs. SHANDA SANDRIDGE NP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
Mrs. SHANDA SANDRIDGE NP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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